Tote bag or Pillow

Full uniforms as well!

Uniform Keepsake Order Form
Make checks payable to “Montpelier Music Boosters”
Pillows and bags are pre-sale and will be available 6-8 weeks after
the May 1 deadline
Name:___________________________________________________
Would you rather (circle one)
1. Pick up at the school
2. Have it shipped to you (add $5)
Address (if you chose shipping)
_______________________________________
_______________________________________
_______________________________________
Phone number:_________________________________
Email:___________________________________________
Number of pillows in order __________
Number of bags in order ____________
Number of full uniforms _____________
Number of Hats _______________
Shipping (if applicable - $5) ____________
Total Amount $ Due _____________
Please fill out this form and return with payment to:
Montpelier HS – attn. Laura Zumbaugh
1015 E Brown Rd, Montpelier, OH 43543